Art3_Rialto_FY23_BikePed_MerrillSRTS_Inv3 TDA Article 3: Claims/Change Request
Type of Request TDA Article 3:Claims
Project Title Merrill SRTS
Project Type Bike and Pedestrian Project
Contact Name Dayan A Malfavon
Agency Rialto
Contact Phone 9098202542
Contact Email dmalfavon@rialtoca.gov
Type of Claim Reimbursement Request
Reimbursement Request
Reimbursement Claim Form.pdf 158.79KB
Request Form
Backup Invoice Binder.pdf 9.82MB
Documentation
Completion NOC Merrill SRTS.pdf 201.64KB
Verification (if
applicable)
Minute Action Item (if
applicable)
Photos(for Project Images.pdf 37.02MB
completed projects)
Other
Claimant: City of Rialto Date: 9/4/2025
Please see below instructions and checkmark the items included in your submittal.
1. Claim Form (one-time submission)—required prior to,or along with,your first reimbursement
request.
❑ 2. Authorizing Resolution(one-time submission)—required within SIX months of the project
award by SBCTA Board or prior to requesting reimbursement of funds,whichever comes first.
Resolution should authorize the filing of the claim form,authorize the submission of
reimbursement requests and designate the individuals authorized to certify project completion
(Authorized Agent).Sample language is available upon request.
3. Reimbursement Request Form (as needed)—this form is required every time a
reimbursement is requested. Please note,progressive payments are only eligible on awards over
$200,000 and local match share percentage must be met regardless of reimbursement amount
requested.
El 4. Backup Documentation (required with Reimbursement Request Form)—invoices, paychecks,
purchase orders,etc.to support both the reimbursement and match amounts noted on the
Reimbursement Request Form. Please note,staff administration and/or contract project
management expenses are NOT eligible match expenses. However,staff expenses may qualify for
local match under select circumstances. Please identify whether supporting documentation
includes staff expenses under one of the following allowable conditions:
❑ Award is for an ATP Safe Routes to School(SRTS)program project,not a SRTS infrastructure
project.
Necessary staff time directly related to in-house completion of design, right-of-way
acquisition,or construction including inspection and/or construction management.
❑ Note: No travel costs or per diems allowed for staff time
71 5. Certification of Completion(completed projects only)—prior to filing the final request for
reimbursement,written verification of project completion by the agency's Authorized Agent is
required(see Authorizing resolution above).Sample language is available upon request.
6. Photos of Completed Project(completed projects only)—required when project is complete
and should be attached to final reimbursement request.
❑ 7. Other(optional)—Claimants may attach additional information not included in this list to
support the claim or reimbursement request.SBCTA may request additional information as
necessary.
San Bernardino Associatcd GovernmenLS
Claim Form
Article 3 Grant Program
Project Name: Merrill SRTS Grant Allocation No: L22-0702-0747-01
Claimant: City of Rialto
Address: 150 S. Palm Avenue
Rialto,CA 92376
Attention: Tim Sullivan
Phone No: 909-421-7229
E-mail Address: tsullivan@rialtoca.gov
Award Amount $ 639,404.61
Purpose: Please check one purpose.
El Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUC)99233.3
❑ Transit Stop Access Improvements,PUC99233.3
Authorizing Signature:
(Authorized Agent specified in Authorizing Resolution)
Date:
ure J
Tim Sullivan,Assistant City Manager
Type Name&Title
Condition of Approval:
Approval of this claim and payment by the County Auditor to this claimant are subject to monies being available and
to the provision that such monies will be used only in accordance with the approved allocation instruction.
Art3_Rialto_FY21—BikePed—MerriliSRTS_Claim.xlsx
Claim Form Page 1
San Bcmardino Associatcd Governments
Reimbursement Request
Article 3 Grant Program
Claimant: City of Rialto Allocation#::t.22-0702.0747-01
Grant Information (completed by SBCTA)
Total Project Article 3 Award Percent Article
Project Name Local Match ATP Funds
Cost Amount 3
Merrill SRTS $1,454,969.22 $639,404.61 44% $815,564.61
Instructions: Please complete 1 through 5 below.
Amount
1)Article 3 Cost(amount being requested for
reimbursement) $319,631.81
2) Local Match/ATP Funds Cost $520,418.71 lie,ocal hares note to red
if loco!share is not met
Total $840,050.52
Project Costs to Date(include amount requested above)
3)Article 3 $639,404.61 Article 3 Balance Remaining $0.00
4)Local Match $928,394.65 Local Match -$112,830.04
5)ATP(if applicable) ATP Funds if applicable) $0.00
Total $1,567,799.26 Total Amount Remaining -$112,830.04
1 certify that the information on this Financial Reporting form is true and accurate to the best of my knowledge.
(Authorized Agent specified in Authorizing Resolution)
r�—
Signed: Date:
Ar13 Rialto FY21 BikePed_MerriliSRTS_Claim.xlsx
Reimbursement Request Page 1
Cover Sheet
Vendor Period From Period To Invoice No. Check No. Gross$ Retention
PRESCIENCE 4/1/2025 4/30/2025 RIAL22.01:TO12-Aprt 244101 $ 43,499.16
C1 CONCRETE 4/1/2025 4/30/2025 7059 244346 $ 500,006.03 $ 27,778
PRESCIENCE 5/1/2025 5/31/2025 RIAL22.01:TO12-May 244459 $ 42,588.58
PRESCIENCE 6/1/2025 6/30/2025 RIAL22.01:TO12-June 244691 $ 33,940.32
CJ CONCRETE 5/1/2025 6/20/2025 7091 244747 $ 157,402.80 $ 8,744
PSOMAS 1/1/2025 2/27/2025 219456 244815 $ 3,075.51
PSOMAS 2/28/2025 3/27/2025 220397 244815 $ 740.00
STAFF TIME 4/1/2025 6/29/2025 n/a n/a $ 776.12
CJ CONCRETE RETENTION 6/19/2025 n/a n/a $ 58,022.00
Total $ 840,050.52 $ 36,522
Previous Invoices Retention $ 21,499
Total Retention $ 58,022
PAGE: " OF 1
VENDOR NUMBER VENDOR NAME CHECK NUMBER CHECK DATE CHECK AMOUNT
.; PRESCIENCE CORPORATION 244101 06/26/2025 $44,036.14
INVOICE DATE INVOICE NUMBER DESCRIPTION INVOICE AMOUNT
05/16/2025 RIAL22.01TO8-8 ON-CALL PRESCIENCE S536.98
05/16/2025 RIAL22.01:TO12-APRIL CM-PRESCIENCE MERRILL AVE SRTS S43,499.16
�p,L Cam, City of Rialto Vendor Number Check Number Check Date
150 S. Palm Avenue 147 244101 06/26r2025
s Rialto, CA 92376
el 1r
*** Forty-Four Thousand Thirty-Six Dollars And Fourteen Cents *** $44,036.14
FILE COPY
Pay To PRESCIENCE CORPORATION
The PO BOX 8 NON-NEGOTIABLE
Order Of DALLAS, TXX 75 75284
PUBLIC WORKS INVOICE RECONCILIATION FORM
CONSTRUCTION CONTRACTS
Contract# 252000083 Vendor# Project: Merrill Ave SRTS Inspection Services
Vendor Prescience Project No:220801
Contract Amt $204,540.00
CCO $0.00 $204,540.00
$204,540.00
$204,540.00
Amount Remain Bal.
Account# 22014310.53001-220801-16 $204,540.00 $128,072.72
$0.00 $0.00
Date Invoice# Invoice Amt Paid to Vendor Status Proj.Bal. %Billed Billing Period
2/17/25 RIAL22.01:T012-January 25 $15,392.08 $15,392.08 PAID $189,147.92 7.53% JANUARY 2025
3/19/25 RIAL22.01:T012-February 2 $17.576.04 S17,576.04 PAID 5171,571.88 16.12% FEBRUARY 2025
5116/25 RIAL22.013012-April 25 $43,499.16 $43,499.16 RF 5128.072.72 37.39% APRIL 2025
$0.00 $128,072.72 37.39%
50.00 $128,072.72 37.39%
50.00 $128,072.72 37.39%
$0.00 $128,072.72 37.39%
$0.00 $128,072.72 37.39%
$0.00 $128,072.72 37.39%
50.00 $128,072.72 37.39%
S0.00 $128,072.72 37.39%
S0.00 $128,072.72 37.39%
$H0 $128,072.72 37.39%
S0.00 5128.072.72 37.39%
50.00 $128,072.72 37.39%
TOTALS: $76,467.28 $0.00 $76,467.28
Contract/Project Manager: Art Cervantes
INVOICE P cience
A 81JRE11 Il VERIT/15 COMPANY
PSC PROJECT No.: RIAL22.01TO12 Checks payment to:
Description of Contract: Task Order No. 12-"Merrill Avenue Safe Routes To School"
Prescience Corporation
Scope of Services: Construction Management Support Services for City Project P.O.Box 843319
No:220801, Resident Engineering, Inspection, Specialty, Dallas,TX 75284-3319
Public Outreach and Material Testing tel:949.600.8631
Consultant: PreScience Corporation
City Project Number:
Contract No.:
To:
Accounts Payable
The City of Rialto
150 SO. PALM AVENUE
RIALTO, CA 92376
Invoice No.: RIAL22.01:TO12-April 25
Invoice Date: 5/16/2025
Billing Period: from 4/1/2025 to 4/30/2025 (April, 2025)
PRIME LABOR CHARGES
Employee Name Project Function Title Shift Type Loaded Rate Hours Labor$$
Elmo Delos Santos Resident Engineer/Project Manager NPW ST $242.45 42.0 $ 10,182.90
Danh Thai Construction Inspector NPW ST $227.52 88.0 $ 20,021.76
Sub-Total PRIME Labor Charges 130.0 $ 30,204.66
PRIME: Other Direct Costs
Name Descriptions Unit Quantity Rate TOTAL
Sub-Total CDC $
TOTAL PRIME(Prescience) $ 30,204.66
SUB-CONSULTANT COSTS
Name of Sub-Consultants Descriptions HOURS LABOR ODC TOTAL
Ninyo&Moore Invoice No.:302924 $ 1,077.50 $ 265.00 $ 1,342.50
SPECS Engineering Group Invoice No.:T012-4 $ 11,952.00 $ $ 11,952.00
TOTAL SUB-CONSULTANTS 0.00 $ 13,029.50 $ 265.00 $ 13,294.50
GRAND TOTAL: (PRIME + SUB-CONSULTANTS) $ 30,204.66 $ 13,294.50 $ 43,499.16
Elmo Delos Santos 05/16/25
Consultant Project Manager Sig ture Date
PRESCIENCE LABOR TASK BREAKDOWN - RIAL22.01TO10
Period: Apr 01, 2025 to Apr 30, 2025 (April, 2025)
Billing Shift Actual
Employee Name Project Function Title Labor $$
Rate Type Hours
Elmo Delos Santos $242.45 Resident Engineer/Project Manager NPW ST 42.0 $10,182.90
Danh Thai $227.52 Construction Inspector NPW ST 88.0 $20,021.76
Resident Engineer/Project Manager 42.0 $10,182.90
LABOR SUB-TOTAL(THIS PERIOD ONLY) Construction Inspector 88 0 $20,021.76
I
TOTAL PRIME LABOR 130.0 $30,204.66
ACCOUNTING SUMMARY
Task Order No. 12 - "Merrill Avenue Safe Routes To School"
BILLING PERIOD: 04/01/25 to 04/30/25(April,2025) PHASE Task 1-3
Invoice No.: RIAL22.01:TO12-April 25
Contract No.: 0
ADDRESS: 220 Technology Drive,Suite 100
City,State,Zip: Irvine,CA 92618
FIRM Billed This Period Previously Billed Total To Date BUDGET %Spent
Prescience Corporation $30,204.66 $31,255.66 $84,296.60 $107,684.22 78.28%
Subconsultant Billed This Period Previously Billed Total To Date BUDGET %Spent
Specs Enginering(PR/OE/Admin) $11,952.00 $11,311.68 $30,434.28 $91,856.00 33.13%
Ninyo&Moore(Material Testing) $1,342.50 $1,365.00 $5,668.74 $5,000.00 113.37%
SUB-TOTAL: $13,294.50 $12,676.68 $36,103.02 $96,856.00 37.27%
Other Direct Costs(ODCs) Billed This Period Previously Billed Total To Date BUDGET %Spent
Misc.ODCs $0.00 $0.00 $0.00 $0.00 0.00%
SUB-TOTAL: $0.00 $0.00 $0.00 $0.00 0.00%
PRIME+SUB Billed This Period Previously Billed Total To Date BUDGET %Spent
TOTAL $43,499.16 $43,932.34 $120,399.62 $204,540.22 58.86%
1 the undersigned hereby certify that I have examined the charges contained in this invoice and that they are true to best of my knowledge
Elmo Delos Santos 5/16/2025
Consultant Project Manager Signature Date
City of Rialto
Employee Timesheet and Task Description
Employee Name: Elmo Delos Santos,PE Week Ending: April 4,2025
Employee Home Org: PreScience Corporation(A Bureau Veritas Company) 3/29 3/30 3/31 4/1 4/2 4/3 4/4
TO 12 220801 Merrill SRTS Project: Sat Sun Mon Tue Wed Thur Fri TOTAL
1 Project Manager/Resident Engineer 2.00 2.00 2.00 2.00 2.00 10.00
0.00
0.00
TOTAL REGULAR HOURS 0.00 0.00 2.00 2.00 2.00 2.00 2.00 10.00
TOTAL OVERTIME HOURS 0.00 0.00 0.00 0.00 0.00 0.00 0.001 0.00
TOTAL HOURS 0.00 0.00 2.00 2.00 2.00 2.00 2.001 10.00
Line Comments
Date Date SUMMARY
Sat 3/29
Sun 3/30
Mon 3/31 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
change management,payments,etc.
Tues 4/1 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
change management,payments,etc.
Wed 4/2 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
change management,payments,etc.
Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
Thurs 4/3 change management,payments,etc.
Friday 4/4 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
change management,payments,etc.
e_�� 0 /V J'-&
EMP YEE'S SIG RE
City of Rialto
Employee Timesheet and Task Description
Employee Name: Elmo Delos Santos,PE Week Ending: April 11,2025
Employee Home Org: PreScience Corporation(A Bureau Veritas Company) 4/5 4/6 4/7 4/8 4/9 4/10 4/11
TO 12 220801 Merrill SRTS Project: Sat Sun Mon Tue Wed Thur Fri TOTAL
1 Project Manager/Resident Engineer 2.00 2.00 2.00 2.00 2.00 10.00
0.00
0.00
TOTAL REGULAR HOURS 0.00 0.00 2.00 2.00 2.00 2.00 2.00 10.00
TOTAL OVERTIME HOURS 0.00 0.00 0.00 0.00 0.00 0.00 0,001 0.00
TOTAL HOURS 0.00 0.00 2.00 2.00 2.00 2.00 2.001 10.00
Line Comments
Date Date SUMMARY
Sat 4/5
Sun 4/6
Mon 4/7 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
change management,payments,etc.
Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
Tues 4/8 change management,payments,etc.
Wed 4/9 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
change management,payments,etc.
Thurs 4/10 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
change management,payments,etc.
Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
Friday 4/11 change management,payments,etc.
E P YEE 5 SIG
City of Rialto
Employee Timesheet and Task Description
Employee Name: Elmo Delos Santos,PE Week Ending: April 18,2025
Employee Home Org: PreScience Corporation(A Bureau Veritas Company) 4/12 4/13 4/14 4/15 4/16 4/17 4/18
TO 12 220801 Merrill SRTS Project: Sat Sun Mon Tue Wed Thur Fri TOTAL
1 Project Manager/Resident Engineer 2.00 2.00 2.00 2.00 2.00 10.00
0.00
0.00
TOTAL REGULAR HOURS 0.00 0.00 2.00 2.00 2.00 2.00 2.00 10.00
TOTAL OVERTIME HOURS 0.00 0.00 0.00 0.00 0.00 0.00 0.001 0.00
TOTAL HOURS 0.00 0.00 2.00 2.00 2.00 2.00 2.001 10.00
Line Comments
Date Date SUMMARY
Sat 4/12
Sun 4/13
Mon 4/14 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
change management,payments,etc.
Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
Tues 4/15 change management,payments,etc.
Wed 4/16 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
change management,payments,etc.
Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
Thurs 4/17 change management,payments,etc.
Friday 4/18 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
change management,payments,etc.
EMPL l S SIGN
City of Rialto
Employee Timesheet and Task Description
Employee Name: Elmo Delos Santos, PE Week Ending: April 25,2025
Employee Home Org: Prescience Corporation(A Bureau Veritas Company) 4/19 4/20 4/21 4122 4/23 4/24 4/25
TO 12 220801 Merrill SRTS Project: Sat Sun Mon Tue Wed Thur Fri TOTAL
1 Project Manager/Resident Engineer 2.00 2.00 2.00 2.00 2.00 10.00
0.00
0.00
TOTAL REGULAR HOURS 1 0.00 0.00 2.00 2.00 2.00 2.00 2.00 10.00
TOTAL OVERTIME HOURS 0.00 0.00 0.00 0.00 0.00 0.00 0.001 0.00
TOTAL HOURS 1 0.00 0.00 2.00 2.00 2.00 2.00 2.00 10.00
Line Comments
Date Date SUMMARY
Sat 4/19
Sun 4/20
Mon 4/21 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance, RFIs,submittals,
change management,payments,etc.
Tues 4/22 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
change management,payments,etc.
Wed 4/23 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
change management,payments,etc.
Thurs 4/24 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
change management,payments,etc.
Friday 4/25 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
change management,payments,etc.
At
EMPLO E'S SIGN
City of Rialto
Employee Timesheet and Task Description
Employee Name: Elmo Delos Santos,PE Week Ending: May 2,2025
Employee Home Org: PreScience Corporation(A Bureau Veritas Company) 4/26 4/27 4/28 4/29 4/30 5/1 5/2
TO 12 220801 Merrill SRTS Project: Sat Sun Mon Tue Wed Thur Fri TOTAL
1 Project Manager/Resident Engineer 0.00 2.00 2.00 4.00 2.00 10.00
0.00
0.00
TOTAL REGULAR HOURS 0.00 0.00 0.00 2.00 2.00 4.00 2.00 10.00
TOTAL OVERTIME HOURS 0.00 0.00 0.00 0.00 0.00 0.00 0.001 0.00
TOTAL HOURS 0.00 0.00 0.00 2.00 2.00 4.00 2.00 10.00
Line Comments
Date Date SUMMARY
Sat 4/26
Sun 4/27
Mon 4/28
Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
Tues 4/29 change management,payments,etc.
Wed 4/30 Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
change management,payments,etc.
Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
Thurs 5/1 change management,payments,etc.
Performing Resident Engineering task in accordance with CM Contract to administer this construction contract-meetings,quality assurrance,RFIs,submittals,
Friday 5/2 change management,payments,etc.
/V- J�-& -
EMP EE'S SIG
City of Rialto
Employee Timesheet and Task Description
Employee Name: Danh Thai Week Ending: April 4,2025
Employee Home Org: PreSCienCe Corporation T012 3/29 3/30 3/31 4/1 4/2 4/3 4/4
T03 STREETS(Various):Contruction Management(Task 2 Pre Construction) Sat Sun Mon Tue Wed Thur Fri TOTAL
1 Construction Inspector 4.00 4.00 4.00 4.00 4.00 20.00
0.00
0.00
TOTAL REGULAR HOURS 0.00 0.00 4.00 4.00 4.00 4.00 4.00 20.00
TOTAL OVERTIME HOURS 0.00 0.00 0.00 0.00 0.00 0.00 0.001 0.00
TOTAL HOURS 0.001 0.00 4.00 4.00 4.00 4.001 4 onj 20.00
Line Comments
Date Date SUMMARY
Sat 3/29
Sun 3/30
Mon 3/31 Construction field inspection and contract adminstration
Tues 4/1 Construction field inspection and contract adminstration
Wed 4/2 Construction field inspection and contract adminstration
Thurs 4/3 Attended weekly agenda meeting with RE,City,and Contractor.Construction field inspection
Friday 4/4 Construction field inspection and contract adminstration
EMPLOYEE'S SIGNATURE
City of Rialto
Employee Timesheet and Task Description
Employee Name: Danh Thai Week Ending: April 11,2025
Employee Home Org: PreScience Corporation T012 4/5 4/6 4/7 4/8 4/9 4/10 4/11
T03 STREETS(Various):Contruction Management(Task 2 Pre Construction) Sat Sun Mon Tue Wed Thur Fri TOTAL
1 Construction Inspector 4.00 4.00 4.00 4.00 4.00 20.00
0.00
0.00
TOTAL REGULAR HOURS 0.00 0.00 4.00 4.00 4.00 4.00 4.00 20.00
TOTAL OVERTIME HOURS 0.00 0.00 0.00 0.00 0.00 0.00 0.001 0.00
TOTAL HOURS 0.00 0.00 4.00 4.00 4.00 477-471 20.00
Line Comments
Date Date SUMMARY
Sat 4/5
Sun 4/6
Mon 4/7 Construction field inspection and contract adminstration
Tues 4/8 Construction field inspection and contract adminstration
Wed 4/9 Construction field inspection and contract adminstration
Thurs 4/10 Attended weekly agenda meeting with RE,City,and Contractor.Construction field inspection
Friday 4/11 Construction field inspection and contract adminstration
EMPLOYEE'S SIGNATURE
City of Rialto
Employee Timesheet and Task Description
Employee Name: Danh Thai Week Ending: April 18,2025
Employee Home Org: PreScience Corporation T012 4/12 4/13 4/14 4/15 4/16 4/17 4/18
T03 STREETS(Various):Contruction Management(Task 2 Pre Construction) Sat Sun Mon Tue Wed Thur Fri TOTAL
1 Construction Inspector 4.00 4.00 4.00 4.00 4.00 20.00
0.00
0.00
TOTAL REGULAR HOURS 0.00 0.00 4.00 4.00 4.00 4.00 4.00 20.00
TOTAL OVERTIME HOURS 0.00 0.0011 0.00 0.00 0.00 0.00 0.0011 0.00
TOTAL HOURS 0.00 0.001 4.00 4.00 4.00 4.00 4.00 20.00
Line Comments
Date Date SUMMARY
Sat 4/12
Sun 4/13
Mon 4/14 Construction field inspection and contract adminstration
Tues 4/15 Construction field inspection and contract adminstration
Wed 4/16 Construction field inspection and contract adminstration
Thurs 4/17 Attended weekly agenda meeting with RE,City,and Contractor.Construction field inspection
Friday 4/18 Construction field inspection and contract adminstration
EMPLOYEE'S SIGNATURE
City of Rialto
Employee Timesheet and Task Description
Employee Name: Danh Thai Week Ending: April 25,2025
Employee Home Org: PreScience Corporation T012 4/19 4/20 4/21 4/22 4/23 4/24 4/25
T03 STREETS(Various):Contruction Management(Task 2 Pre Construction) Sat Sun Mon Tue Wed Thur Fri TOTAL
1 Construction Inspector 4.00 4.00 4.00 4.00 4.00 20.00
0.00
0.00
TOTAL REGULAR HOURS 0.00 0.00 4.00 4.00 4.00 4.00 4.00 20.00
TOTAL OVERTIME HOURS 0.00 0.00 0.00 0.00 0.00 0.00 0.001 0.00
TOTAL HOURS 0.00 0.00 4.00 4.00 4.00 4.00 4.00 20.00
Line Comments
Date Date SUMMARY
Sat 4/19
Sun 4/20
Mon 4/21 Construction field inspection and contract adminstration
Tues 4/22 Construction field inspection and contract adminstration
Wed 4/23 Construction field inspection and contract adminstration
Thurs 4/24 Attended weekly agenda meeting with RE,City,and Contractor.Construction field inspection
Friday 4/25 Construction field inspection and contract adminstration
EMPLOYEE'S SIGNATURE
City of Rialto
Employee Timesheet and Task Description
Employee Name: Danh Thai Week Ending: May 2,2025
Employee Home Org: PreScience Corporation T012 4/26 4/27 4/28 4/29 4/30 5/1 5/2
T03 STREETS(Various):Contruction Management(Task 2 Pre Construction) Sat Sun Mon Tue Wed Thur Fri TOTAL
1 Construction Inspector 4.00 4.00 4.00 4.00 4.00 20.00
0.00
0.00
TOTAL REGULAR HOURS 0.00 0.00 4.00 4.00 4.00 4.00 4.00 20.00
TOTAL OVERTIME HOURS 0.00 0.001 0.00 0.00 0.00 0.00 0.001 0.00
TOTAL HOURS 0.00 0.001 4.00 4.00 4.00 4.00 4.001 20.00
Line Comments
Date Date SUMMARY
Sat 4/26
Sun 4/27
Mon 4/28 Construction field inspection and contract adminstration
Tues 4/29 Construction field inspection and contract adminstration
Wed 4/30 Construction field inspection and contract adminstration
Thurs 5/1 Attended weekly agenda meeting with RE,City,and Contractor.Construction field inspection
Friday 5/2 Construction field inspection and contract adminstration
EMPLOYEE'S SIGNATURE
BIJ
Go ore U eAnmI SEn ,onrvI Sciences Consonants nts # 00094
Supplier At 4124727
Contract At 23637106
INVOICE
Mr. Elmo Santos, PE May 13, 2025
BUREAU VERITAS Project No: 212177005
220 Technology Drive, Suite 100 Invoice No: 302924
Irvine, CA 92618
Materials Testing and Inspection Services
Prescience/City of Rialto- Merrill Avenue
Safe Routes to School Improvements Project
City Project No. 220801
Rialto, California
Task Order No. 12
AtIn. Elmo Delos Santos and Laura B@tres
Invoice through April 25, 2025,for Materials Testing and Inspection Services pertaining to the Merrill Ave. Safe Routes
to School Improvements Project in the City of Rialto, California. Our services included data compilation &analysis and
project coordination observation and concrete testing. Our laboratory services included compressive strength testing.
Professional Services through April 26, 2026
Task 01 Field Services
Hours Rate Amount
Geo/Environmental Assistant
Lorenzen@, Christian 4/24/2025 2.00 95.00 190.00
Senior Technician
Engel, Randy 4/23/2025 4.00 110.00 440.00
Totals 6.00 630.00
Total Labor 630.00
Task 02 Data Compilation &Anaysis
Hours Rate Amount
Project Engineer/Geologist/Scientst
Reichert, Randy 4/11/2025 .50 185.00 92.50
Reichert, Randy 412412025 .50 185.00 92.50
Totals 1.00 185.00
Total Labor 195.00
Task 11 Project Coordination
5710 Ruffm Road I San Diego, Califomia 92123 1 p.858.576.1000 I www.ninyoandmoore.com
/1/inyv&/v►oore
Geotechnical 3 Environmental Sciences Consultants
Project 212177005 BV/PRESCIENCE/ RIALTO-MERRILL SRTS Invoice 302924
Hours Rate Amount
Principal Engineer/Geologist/Scientist
Saiki, Garreth 4/23/2025 .25 210.00 52.50
Project Engineer/Geologist/Scientist
Reichert, Randy 4/21/2025 .50 185.00 92.50
Reichert, Randy 4/23/2025 .25 185.00 46.25
Geo/Environmental Assistant
Cartter, Kelly 4/22/2025 .50 95.00 47.50
Cartter, Kelly 4/23/2025 .25 95.00 23.75
Totals 1.75 262.50
Total Labor 262.50
Task 17 Laboratory Testing
Compression Tests, 6x12 Cylinder 5.0 Tests @ 35.00 175.00
Total Units 175.00 175.00
Task 21 Reimbursables
Vehicle/Equipment Charge 6.0 Hours @ 15.00 90.00
Total Units 90.00 90.00
TOTAL THIS INVOICE $1,342.50
Page 2
5710 Ruffin Road I San Diego,California 92123 1 p.858.576.1000 I www.ninyoandmoore.com
S Cm SPECS Engineering Group
135 S.State College Blvd,Suite 200
Brea,CA 92821
Prime Consultant en C' of Rialto
Bureau Veritas RFP 22.048
Elmo Delos Santos,PE B U # 00094
220 Technology Drive,Suite 100
Irvine,CA9618 Supplier # 7740963
Contract # 23637106 Invoice No. T012-4
Invoice Date: 5/5/25
Billing Period: 4/1/25 to 4/30/25
Project Number/Name: MERRILL AVE SAFE ROUTES TO SCHOOL
NPW Regular Task 1-3/Construction S149.40 80 S11,952.00
Jessica Barragan Public Relations/Office
Engineering
S0.00
$0.00
$0.00
$0.00
r•r
$0.00
$0.00
r�r
$0.00
r�
Direct Labor Cost Total: $11,952.00
Name Sub Description Invoice a/Ref No. Phase Unit Price Units ODC
0
0
7 1 0
Total Subs Costs 0
Total Sub Consultant Labor Cost Due:
Name/Vendor iDescription Invoice#/Ref No. Phase Unit Price Units ODC
0
0
Total ODC Costs 0
Grand Total for This Invoice(Prime+Subconsultants+ODQ TOTAL: $11,952.00
I hereby certify that the charges above have been checked for APPROVED FOR PAYMENT
completeness on all charges contained in this invoice. '
5/5/25 -t-J. S/17/202S
Jessica Barragan,Project Manager Date Consultant P Jett Malinager Date
Please remit payment to:SPECS Engineering Group Inc./135 S.State College Blvd.,#200,Brea,CA,92821
SUMMARY OF INVOICES
invoice No. Amount
Date Check No.
PAID T012.1 $ 3,5 55.60 2/7/25 ACH
PAID T012.2 $ 3,585.60 3/5/25 ACH
PAID T012-3 $ 11,311.68 4/1/25 ACH
Employee Name: Jessica Barragan Week Ending: April4,2025
Employee Home Org: SPECS Engineering Group 3/29 3/30 3/31 4/1 4/2 4/3 4/4
Merrill SRTS Imrpovement Project-TO-12
Line Sat Sun Mon Tues Wed Thurs Fri TOTAL
Contract Number:23637106
1 Document ControUPublic Relations 8.00 4.00 12.00
2 OVERTIME 0.00
0.00
TOTAL REGULAR HOURS 0.00 0.00 0.00 0.00 8.00 4.00 0.00 12.00
TOTAL OVERTIME HOURS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL HOURS 0.00 0.00 0.00 0.00 8.00 4.00 0.00 12.00
Line Comments
Date Date SUMMARY
Sat 3/29
Sun 3/30
Mon 3/31
Tues 4/1
Contract administration:Prepared meeting agenda,submittals,rfi,payment,and co log for review.Made edits to PR flyer and construction activities.
Wed 4/2 Document control of CAT file 14,7,and 37.
Thur 4/3 Contract administration:Weekly progress meeting with contractors.Prepared meeting minutes for review and finalized PR flyer to share with the city.
Fri 4/4
Jessica Ba��a�a�r
EMPLOYEE'S SIGNATURE
Employee Name: Jessica Barragan Week Ending: April 11,2025
Employee Home Org: SPECS Engineering Group 4/5 4/6 4/7 4/8 4/9 4/10 4/11
Merrill SRTS Improvement Project-TO-12
Line Sat Sun Mon Tues Wed Thurs Fri TOTAL
Contract Number:23637106
1 Document ControUPublic Relations 8.00 8.00 4.00 20.00
2 OVERTIME 0.00
0.00
TOTAL REGULAR HOURS 0.00 0.00 8.00 0.00 8.00 4.00 0.00 20.00
TOTAL OVERTIME HOURS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL HOURS 0.00 0.00 8.00 0.00 8.00 4.00 0.00 20.00
Line Comments
Date Date SUMMARY
Sat 4/5
Sun 4/6
Mon 4/7 Contract administration:Finalized meeting minutes along with corresponding logs and weekly status report;Document control of CAT files 21 AND 36.
Tues 4/8
Contract administration:Prepared meeting agenda,submittals,rfi,payment,and co log for review.Made edits to PR flyer and construction activities
Wed 4/9 for the week.Coordinated with CJ construction for pending items such as 3 week look aheads,COR details,and test results.
Thur 4/10 Contract administration:Weekly progress meeting with contractors.Prepared meeting minutes for review and finalized PR flyer to share with the city.
Fri 4/11
Jessica Ba��a�a�r
EMPLOYEE'S SIGNATURE
Employee Name: Jessica Barragan Week Ending: April 18,2025 E
"G
Employee Home Org: SPECS Engineering Group - .1 4/13 4/14 4/15 4/16 4/17 4/18
Merrill SRTS Imrpovement Project-TO-12
Line Sat Sun Mon Tues Wed Thurs Fri TOTAL
Contract Number:23637106
1 Document Control/Public Relations 8.00 8.00 4.00 20.00
2 OVERTIME 0.00
0.00
TOTAL REGULAR HOURS 0.00 0.00 8.00 0.00 8.00 4.00 0.00 20.00
TOTAL OVERTIME HOURS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL HOURS 0.00 0.00 8.00 0.00 8.00 4.00 0.00 20.00
Line Comments
Date Date SUMMARY
Sat 4/12
Sun 4/13
Mon 4/14 Contract administration:bringing CAT 5 up to date from the end of March.Coordination with foreman,RE,City,and inspector regarding a resident on
Orchard street resolving a PR concern.
Tues 4/15
Wed 4/16 Contract administration:Document control of CAT files;Preparing weekly meeting agenda and making edits and updates to PR flyers.
rhur 4/17 Contract administration:Coordinated with CJ Construction for pending items such as testing results and updated CPR;weekly progress meeting with
contractors and Prescience;Began drafting meeting minutes for review.
Fri 4/18
676?1ca &I"-agalr
EMPLOYEE'S SIGNATURE
Employee Name: Jessica Barragan Week Ending: April 25,2025 E
"G
Employee Home Org: SPECS Engineering Group - _ 4/20 4/21 4/22 4/23 4/24 4/25
Merrill SRTS Imrpovement Project-TO-12
Line Sat Sun Mon Tues Wed Thurs Fri TOTAL
Contract Number:23637106
1 Document Control/Public Relations 8.00 8.00 4.00 20.00
2 OVERTIME 0.00
0.00
TOTAL REGULAR HOURS 0.00 0.00 8.00 0.00 8.00 4.00 0.00 20.00
TOTAL OVERTIME HOURS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL HOURS 0.00 0.00 8.00 0.00 8.00 4.00 0.00 20.00
Line Comments
Date Date SUMMARY
Sat 4/19
Sun 4/20
Mon 4/21 Contract administration:document control of CAT file 37 and 38; Made updates to public relations log and coordinated with Boyd elementary school
administration with updated flyer notices and project update.
Tues 4/22
Contract administration: Prepared weekly meeting agenda for progress meeting. Made updates to CAT 10 and CAT 61 logs for weekly meeting;
Used 4/23 Updated CAT 5 and 14.
Contract administration:weekly progress meeting with contractors and Prescience;Sent meeting minutes to RE for review.Updated CAT 25-Weekly
inur 4/24 status report
Fri 4/25
(lessica Ba��a�a�r
EMPLOYEE'S SIGNATURE
Employee Name: Jessica Barragan Week Ending: May 2,2025 E
"G
Employee Home Org: SPECS Engineering Group 4/27 4/28 4/29 4/30 5/1 5/2
Merrill SRTS Imrpovement Project-TO-12
Line Sat Sun Mon Tues Wed Thurs Fri TOTAL
Contract Number:23637106
1 Document Control/Public Relations 8.00 8.00
2 OVERTIME 0.00
0.00
TOTAL REGULAR HOURS 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00
TOTAL OVERTIME HOURS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL HOURS 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00
Line Comments
Date Date SUMMARY
Sat 4/26
Sun 4/27
Mon 4/28
Tues 4/29
Contract administration: Prepared weekly meeting agenda for progress meeting.Sent out meeting minutes for weekly meeting no.14 and weekly
Used 4/30 status report#14. Updated CAT 5 and 14.
ihur 5/1
Fri 5/2
(lessica Ba��a�a�r
EMPLOYEE'S SIGNATURE
PAGE: " OF 1
VENDOR NUMBER VENDOR NAME CHECK NUMBER CHECK DATE CHECK AMOUNT
r'i; CJ CONCRETE CONSTRUCTION.INC. 2;V31i: 0 711 7/2 02 5 $527.784.14
INVOICE DATE INVOICE NUMBER DESCRIPTION INVOICE AMOUNT
04/27/2025 7059 CON-CJ CONCRETE MERRILL AVE $527,784.14
City of Rialto Vendor Number Check Number Check Date
150 S. Palm Avenue 810 244346 07/17/2025
s Rialto, CA 92376
Five Hundred Twenty-Seven Thousand Seven Hundred Eighty-Four Dollars And Fourteen Cents '"' $527,784.14
FILE COPY
Pay To CJ CONCRETE CONSTRUCTION, INC.
The 10142 SHOEMAKER AVE NON-NEGOTIABLE
Order Of SANTA FE SPRINGS, CA 90670
PUBLIC WORKS INVOICE RECONCILIATION FORM
CONSTRUCTION CONTRACTS
Contract# 252000079 Vendor# 810 Project: MERRILL AVE SRTS
Vendor CJ Concrete Construction PROJECT#220801
Contract Amt $1,097,675.00
CC0#1 $1,097,675.00 City Council Approval 9/24/2024 Tab 4
$1,097,675.00
$1,097,675.00
Amount Remain Bal.
Account# 22047326-53001.220801-05 $639,404.61 $0.00
22014310-53001.220801-22 $458,270.39 $112,127.00
Retention# To Date $49,277.40
Totals $1.097,675.00 $112,127.00
Certified
Date Invoice# 2204 2201 Retention Paid to Vendor Status Payroll Verified Proj.Bal. %Billed BILLING PERIOD
3/24/25 PAY APP#1 $255,445.75 $12,772.29 $242.673.46 PAID YES 5842.229.25 23.27% 1-25-2025 TO 2-28-2025
4/9/25 PAY APP#2 5174,540.00 S8,727.00 5165,813.00 PAID YES 5667.689.25 39.17% 3-1-2025 TO 3-31-2025
5/8/25 PAY APP#3 S209.418.86 $346.143.39 $27.778.11 $527,784.14 ERP YES $458,270.39 58.25% 04-01-2025 TO 04-30-2025
$0.00 $0.00 $458,270.39 58.25%
$0.00 $0.00 $458,270.39 58.25%
$0.00 $0.00 $458,270.39 58.25%
$0.00 $0.00 $458.270.39 58.25%
$0.00 $0.00 $458.270.39 58.25%
$0.00 $0.00 $458.270,39 58.25%
$0.00 $0.00 $458,270,39 58.25%
$0.00 $0.00 $458,270.39 58.25%
$0.00 $0.00 $458,270,39 58.25%
$0.00 $0.00 $458.270.39 58.25%
$0.00 $0.00 $458,270.391 58.25%
$0.00 $0.00 $458,270.39 58.25%
TOTALS: $639.404.61 $346,143.39 $49,277.40 $936,270.60
Contract/Project Manager: RUDY VICTORIO
Monthly Payment Estimate Summary :ro, �
Payment No. 3
Boyd Elementary - Merrill
Project Name: Safe Routes To School
Contractor: CJ Construction, Inc.
Billing Period: 4/1/2025 to 4/30/2025 Project No.: 220801
Previous Total This Month Total To Date
Total Earnings for Work and Materials Installed $ 429,985.75 $ 555,562.25 S 985,548.00
Less: 5% Retainage $ 21,499.29 $ 27,778.11 $ 49,277.40
Amount Of This Payment $ 408,486.46 $ 527,784.14 $ 936,270.60
Less: Previous Payments $ 408,486.46
Less: Change Orders(from Total Earnings) $ 985,548.00
Less:Withholdings $ -
Less: Liquidated Damages $ -
Net Payment this Estimate $ 527,784.14
%Time Elapsed—As of: 4/30/2025 99% %of Work Completed Based on Cost: 89.8%
Contract Completion Data Contract Budget Data
Notice to Proceed Date 1/25/2025 Original Contract Amount $ 1,097,675.00
Original Contract Calendar Days 60 Change Order Amount $
Original Contract Completion Date 4/15/2025 Total Contract Amount $ 1,097,675.00
Approved Time Extensions 12 Contract Work Balance to Complete $ 112,127.00
Revised Contract Completion Date 5/1/2025
New Contract Calendar Days 72
Certification by Owner's Representatives Certification of Contractor
I certify that I have checked and verified this Progress According to the best of my knowledge and belief, I
Payment Application and to the best of my knowledge certify that all items and amounts shown in this
and belief, it is a true and correct statement of work progress payment application are correct: all work has
performed and/or material supplied by the contractor; been performed and/or material supplied in full
that all work included in this estimate has been accordance with the requirements of the referenced
inspected by me or my support staff and that it has contract, and/or additions; that the foregoing is a true
been performed and/or supplied in full accordance with statement of the contract amount up to and including
requirements of the contract. the last day of the period covered in the progress
payment application; that no part of the "balance" due
PLEASE SIGN ON THE LINE ABOVE YOUR TITLE this payment has been received.
/ In addition, I certify that this payment complies with
05/08/2025 State of California prevailing wage requirement
provided in the contract.
Elmo elos Santos. E
(C�nsttruction Manager/Resident Engineer) Date
, �' '& Y y 05/08/2025
Hector Hernandez
(Contractor Project Manager) Date
SEE ATTACHED
Contractor
(City) Date CJ Concrete Construction Inc
Attachments: Progress Payment Record
1 OF 2
PROJECT NO: 220801
PROJECT TITLE: Boyd Elementary-f-11 Safe Routes To School
OWNER CONTRACTOR PROGRESS PAYMENT No. $ 4 City of Rialto CJ Concrote Construction Inc C�\L►\
335 W Rialto Ave 10142 Store n-Ave Period Covered '�11
Rollo,CA 92376 Santa Fe Springs,CA 90670 From Apn1 1,2025
Through: Apn130.2025
Contact AMCervantes.City of Rialto.CIP Manager Contact Hedaenan MOel
Phone. Ptwne. 562-777-2222
Contract No.220301•MERRILL AVE SAFE ROUTES TO SCHOOL IMPROVEMENTS This Period ProWass Payment R*q-t Pravloua Propnas Payments to Date Total P.,-to Data
11an No Sµc Satan Btl Ilan Cvarary Unn UN Casti Cantraq Arrwa C- % Conpmed Caat ca-"% convieMbE C-, Q-"% OuaneN I-Coal(I.-
cons+alm Cnu Raaw4n
Canpeleo UMs Cmpbted unes Convletao U- Retensonl
Modli7aiwn 1 LS $ 20d"00 S 20.0000D I500% 025 S 5.00000 7500% s 1500000 100 DD% s 20.0000D s 10000D s 19.xL
2 Construct-Sun 1 LS S 36.0OD.DO S 36.000 DO 10000% 1 $ 36.ODD 00 000% S 100 DD% $ 36,000 DO S 1800 DO S 34.22•:
3 Water Pollutw Control 1 LS 5 5.50000 s 5.50000 2500% 025 S 1.37500 7500% s 4.12500 10000% s 5.50000 s 27500 s $.[1'
4 Tem a Tr,11 Control 1 LS 5 5.000.DO s 5000 DO 5000% 0.5 S 2.50000 5000% $ 230000 100 DD% $ 5.000.00 $ 250 DO $ 4.7.
5 Unclassdied Exravaiwn 360 CV $ 1]S.DO S 63.OW 00 4983% 17939 S 3139325 5017% s 3160fi 75 100 OD% 5 63.00000 f 3.15000 f 59.85.
6 Clean Grutd .and Removals 1 LS $ 120.00D.DO S 120,000 DO 2500% 025$ 30 ODD 00 7500% s 90000 DO 100 DON 3 12000O DO S 6000 DO S 114 0
7 Construct 4'PCCS.00walk 18100 SF S 1400 S 25340000 4504% $153 S 114.14200 4330% s 109.91400 $812% s 224.05600 s 11.20280 s 212.8` .
B Construct 6'PCC Residential Crvreva (Widlh par Plan) 31 EA S 2.7DD.DD S B3700 DO 4191% 13 S 35.1OD00 6152% s 54.000 DO 10645% s B9.100 DO S 4456 DO S 84.61'
9 Construct Cross Gutter 41W SF $ 32 M $ 131 2W OD 79 S1% 3261 S iN0352 W 1512% s 19,UO.OD w m% 3 124.192 Do S 6 X 60 S 117.9B.
10 Construct 6'Curo 820 LF S SODD It 41,000 DO 659% 54$ 2,7D000 000% It 8.59% $ 230000 $ 13500 $ 2.56.'
II Cmstwt 8'Curn 275 LF S 6500 t 17.87500 000% t 000% s 000% S s s
12 Conatuoi Case A Access Romp 10 EA 5 9.00D.Do S 90.000.DO 9000% 9 S 81,OOD00 2000% s 18.000.00 110.00% s 99.000 DO S 495000 S 94.OSO OO
13 Cor-Lose B A -Rona, 4 EA 5 9."OD S 36.000 OD 7500% 3 S 270"00 O W% s 75.OD% s 27000 OD S 1 350 00 S 25.6W 00
14 Con-and I.-lnfitpaton Tn-n 1 LS 5 170.ODD OD $ 170000 DO 5000% 0 5000..5$ 85.00000 5000% s 800 10000% 3 17000000 $ 850D 00 $ 161.50000
15 F VOOrders 1 LS 5 25.00D.DD S 25 00 DO 000% It 000% S 0.00% s $ $
SUS TOTAL s 1,097,07500 s SMUL25 80.79% s "I'Mo0 s 4012".40 s W270.60
co c awns Cliv unto
2
3
4
5
6
7
8
odor A-mill TaW
Now Contract Arrout Total 1,097.675.00
Contract Work Botanca to Conapiait 112.127.00
7etal C-I 565.56225 Total cost sO.OD
5%Rek-T-1 27,77811 1Relmtm Taal S
Amount el-P W7.784.14 1 9s8549.00 493T7.40 1 936.270.60
2 OF
CONST�TION CJ Concrete Construction, Inc. Unit Billing
Zft 10142 Shoemaker Ave.
CONSTRUCTION Santa Fe Springs CA90670 Application: 3
Uft 562-777-2222
CONSTRUCTION
License: A-720989 Period: 04/27/2025
Owner: City Of Rialto Job Location: Merrill Avenue Safe Routes to School
150 S Palm Ave 150 S Palm Ave INVOICE 7059
rialto CA 92376 rialto CA 92376
Application For Payment On Contract Contractor's Certification of Work
Contract Sum to Date .............................. 1,103,675.00 The undersigned contractor certifies that, to the best of the contractor's
Total Complete to Date ........................... 985,548.00 knowledge, the work on the above named job has been completed in
accordance with the plans and specifications to the level of completion
indicated on the attached schedule of completion.
Total Retained .......................................... 49,277.40
Total Earned Less Retained ................... 936,270.60 Contractor: YYI ' 41 Date: 05/05/2025
Less Previous Billings ............................ 408,486.46
Current Payment Due .............................1 527,784.14
Balance on Contract ................................ 118,127.00
Terms:Invoices are due and payable from the date of invoice.All overdue amounts will be charged a service charge of
0.00 %per annum.Please make checks payable to: CJ Concrete Construction, Inc.
Thank you for your prompt payment.
Unit Billing Application: 3
Period: 04/27/2025
Schedule of Work Completed
Contract Plus Previous Current Units Total Units Previous Current Total
Bid Item Descrintion Price/Unit Chanaes Units Billed Comnlete Comnlete Vahie Vahie Value Retained